Quality Improvement Manager
at Blue Beginning Health, Inc

Duty of the Position

Assist in the development, implementation, and evaluation of the Continuous Quality Improvement (CQI) program and activities that support Agency's objectives in delivering quality patient care services.

Position responsibilities

Assist the Quality Improvement (Q.I.) Director in developing, and implementing, an Agency CQI program.
Assist in preparing monthly Medicare billing.
Assist Q.I. Director in reviewing Plans of Care.
Assist Q.I. Director with chart audits.
Assist Q.I. Director with quarterly U.R. statistics.
Assist in the implementation of approved recommendations and assessing the Agency’s success in correcting clinical record deficiencies.
Regularly participate in case conference activities and ensure, through attendance and record reviews, that conferences are conducted and documented, in accordance with Agency policy.
Review all reports of complaints, errors, incidents, and grievances to ensure that they are fully documented and properly handled, in the time-frame and manner specified by the Agency’s policy.
Coordinate a program for risk management, which encompasses written guidelines and provides for supervision of workers on cases with risk factors, such as: contagious disease, infections, AIDs, hepatitis, high tech therapies, high tech equipment and supplies, and other situations in which the patient, or worker, is at risk.
Makes home visits, regularly, to observe care being rendered, to assess the condition and use of equipment and supplies, and to receive reports of patient/family satisfaction with care.
Assist the Director in evaluating, and resolving, employee complaints, grievances, and turnover issues.
Perform other tasks, as assigned by the Administrator, CM, and Q.I. Director.
Ensure the confidentiality of clinical records.
Promote, and maintain, an environment that is compliant with federal, state, and local regulatory agencies.
Participate in development, and implementation, of a staff educational program for documentation and Quality Improvement.
Work with administrative, and supervisory personnel, regarding home care visits to ensure high quality, and proper follow-up, patient care with regard to patient needs.
Consult with physicians, when necessary, to ensure and maintain safe, efficient, and quality patient care.
Perform chart audits and assist with case conferences.
Participate with other health, civic, education, and professional groups, as directed by the Director of Quality Improvement, the Administrator, and the Clinical Manager.
Keep current on local area issues and works with organizations that work to improve the health and welfare of the community, as directed by the Administrator and the Director of Quality Improvement.

Job Conditions

Position is stressful in terms of meeting deadlines.
It requires minimal lifting of office records and printouts.
It is primarily a desk job, which essentially involves sitting, standing stooping, and walking, as well as an inordinate amount of telephone communication.
Travel is required, by car or airplane to local, out-of-town, or state seminars, conferences, or meetings.
The ability to communicate well, both verbally and in writing, in English is required.

Company Operation

Has access to all patient medical records, personnel records, and patient financial accounts, which may be discussed with the Executive Director, Director of Finance, Employee Relations and Quality Assurance department staff, as well as outside government agencies.

Qualifications

1. Must be a Registered Nurse or Licensed Practical Nurse licensed in Virginia
2. Must be adept at preparing patient charts.
3. Must have experience in developing, implementing, and evaluating continuous quality improvement programs and activities.
4. Must have the ability to demonstrate self-confidence, and a positive attitude, and maintain enthusiasm and commitment, with respect to goal achievement.
5. Must have a criminal background check.

Equipment Operation

Utilization of CRT, calculator, multi-line telephone, copy machine, and basic medical equipment.

Location